| 经皮冠状动脉介入治疗并发急性心脏压塞的临床分析 |
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| 引用本文： | 宁尚秋,刘文娴,陈立颖,康铁朵,李江,杨鲲,马长生,吕树铮. 经皮冠状动脉介入治疗并发急性心脏压塞的临床分析[J]. 心肺血管病杂志, 2011, 30(3): 226-228. DOI: 10.3969/j.issn.1007-5062.2011.03.013 |
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| 作者姓名： | 宁尚秋 刘文娴 陈立颖 康铁朵 李江 杨鲲 马长生 吕树铮 |
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| 作者单位： | 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心内科,北京,100029 |
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| 摘 要： | 目的:分析8例经皮冠状动脉介入治疗(PCI)并发的急性心脏压塞原因、临床表现和治疗结果。方法:2005年1月至2008年12月对5 241例冠心病患者进行了PCI术,8例患者并发急性心脏压塞。采用心包穿刺引流术处理,无效时采用外科手术。结果:急性心脏压塞的发生率为0.15%。8例患者早期均表现为胸闷、血压下降。7例患者行紧急心包穿刺引流,其中2例因引流后仍继续出血而行外科修补手术。1例患者未行心包穿刺引流死亡。结论:急性心脏压塞是PCI术的严重并发症,及时发现和有效救治是十分重要的。
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| 关 键 词： | 经皮冠状动脉介入治疗 心脏压塞 心包穿刺 冠心病 |
Clinical analysis of patients with acute cardiac tamponade complicating percutaneous coronary intervention |
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| NING Shangqiu,LIU Wenxian,CHEN Liying,KANG Tieduo,LI Jiang,YANG Kun,MA Changsheng,LV Shuzheng. Clinical analysis of patients with acute cardiac tamponade complicating percutaneous coronary intervention[J]. Journal of Cardiovascular and Pulmonary Diseases, 2011, 30(3): 226-228. DOI: 10.3969/j.issn.1007-5062.2011.03.013 |
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| Authors: | NING Shangqiu LIU Wenxian CHEN Liying KANG Tieduo LI Jiang YANG Kun MA Changsheng LV Shuzheng |
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| Affiliation: | NING Shangqiu,LIU Wenxian,CHEN Liying,KANG Tieduo,LI Jiang,YANG Kun,MA Changsheng,LV Shuzheng Department of Cardiology,Capital Medical University affilimted Beijing Anzhen Hospital,Beijing In-stitute of Heart,Lung and Blood Vessel Diseases,Beijing 10029,China |
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| Abstract: | Objective:To report eight cases of acute cardiac tamponade complicationg percutaneous coronary intervention(PCI),and summarize the causes,manifestation and results of management.Methods: From Jan.2005 to Dec.2008,a total of 5 241 patients with coronary artery disease were treated with PCI in cardiology department of Beijing Anzhen hospital.Among them,8 patients were complicated with cardiac tamponade.Pericardiocentesis was managed,and surgical procedure was done when pericardiocentesis failed.Results:Total ... |
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| Keywords: | Percutaneous coronary intervention Cardiac tamponade Pericardiocentesis Coronary heart disease |
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